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FPs Can Use CMS Checklist to Guide Exams for Power Mobility Devices
By Barbara Bein
Presented as part of a recent MLN Matters article (7-page PDF; About PDFs), the checklist guides physicians to include a detailed description of required items in the patient's medical record. For example, the checklist says the medical record should include a history of
- signs and symptoms that limit ambulation,
- diagnoses that are responsible for the signs and symptoms,
- medications or other treatments prescribed for the signs and symptoms,
- progression of ambulation difficulty,
- other diagnoses that may relate to ambulatory problems, and
- a history of falls.
"This is what they need to include in their documentation to provide enough information to support a prescription for a PMD," Cynthia Hughes, C.P.C., an AAFP coding and compliance specialist, told AAFP News Now.
"This has not been clear in the past and had put both the DME (durable medical equipment) company providing the PMD and the physician at risk in the event of an audit," she added.
After the face-to-face examination is completed, physicians may write the prescription, which includes seven elements (3-page PDF; About PDFs: click "I accept" to continue). The medical documentation and the prescription then are forwarded to the PMD supplier within 45 days after completion of the face-to-face encounter.
CMS stresses that the checklist is intended as a guide and does not replace the underlying medical records. As such, its use confers no guarantee that a patient's PMD claim will not be denied.
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CMS PMD Fact Sheet with Coverage Flow Chart
(8-page PDF; About PDFs)